A nurse is providing teaching for a client who has an ileal conduit following bladder cancer. Which of the following statements by the client indicates a need for the nurse to provide additional teaching?

I need to catheterize the stoma several times a day.

I will need to measure my stoma each week.

I will always have to wear a pouch.

I need to cleanse around the stoma with soap and water.

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement indicates a need for further teaching, as it is incorrect. The client does not need to catheterize the stoma, as the urine flows continuously from the ileal conduit to the pouch. Catheterization can cause infection and damage to the stoma.

Choice B reason: This statement is correct, as the client will need to measure the stoma each week for the first 6 to 8 weeks after surgery. The stoma may change in size and shape as it heals, and the client will need to adjust the size of the pouch opening accordingly.

Choice C reason: This statement is correct, as the client will always have to wear a pouch to collect the urine. The client can choose from different types of pouches, such as one-piece or two-piece systems, and change them as needed.

Choice D reason: This statement is correct, as the client will need to cleanse around the stoma with soap and water at least once a day. This helps to prevent skin irritation and infection. The client should avoid using alcohol, perfumes, or lotions on the stoma.

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Correct Answer is C

Explanation

Choice A reason: Storing oxygen tanks upright is not a necessary instruction for home oxygen therapy. Oxygen tanks can be stored horizontally or vertically, as long as they are secured and away from heat sources.

Choice B reason: Using petroleum-based ointments to moisturize lips is not advisable for clients who use home oxygen therapy. Petroleum-based products can ignite in the presence of oxygen and cause burns. The nurse should recommend water-based products instead.

Choice C reason: Keeping oxygen tanks 4 feet away from an electric stove is a safety measure for home oxygen therapy. Oxygen is a flammable gas and can cause a fire or explosion if exposed to heat or sparks. The nurse should also instruct the client to avoid smoking, candles, and other open flames.

Choice D reason: Choosing a wool blanket when using oxygen is not a good idea for home oxygen therapy. Wool is a synthetic material that can generate static electricity and ignite oxygen. The nurse should suggest cotton or other natural fabrics instead.

A. Ignoring the urge to defecate B. Increased fiber in the diet C. Excessive laxative use D. Increased activity

Correct Answer is ["A","C"]

Explanation

Choice A reason: Ignoring the urge to defecate is a cause of constipation, as it can lead to hardening and accumulation of stool in the colon. The nurse should advise the client to respond to the urge to defecate as soon as possible and to establish a regular bowel routine.

Choice B reason: Increased fiber in the diet is not a cause of constipation, but rather a prevention measure. Fiber helps to soften the stool and increase its bulk, which facilitates its passage through the colon. The nurse should encourage the client to consume adequate amounts of fiber from fruits, vegetables, whole grains, and legumes.

Choice C reason: Excessive laxative use is a cause of constipation, as it can interfere with the normal functioning of the colon and cause dependency. The nurse should instruct the client to avoid using laxatives unless prescribed by the provider and to use them only for a short period of time.

Choice D reason: Increased activity is not a cause of constipation, but rather a prevention measure. Activity helps to stimulate the peristalsis of the colon and promote bowel movements. The nurse should recommend the client to engage in moderate physical activity for at least 30 minutes a day

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A nurse is providing teaching for a client who has an ileal conduit following bladder cancer. Which of the following statements by the client indicates a need for the nurse to provide additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

A nurse is teaching a client who has a new prescription for an inhaler. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take first?

A charge nurse in a long-term care facility is observing another nurse who is inserting an indwelling urinary catheter into a female client. Which of the following actions by the nurse should prompt the charge nurse to intervene?

A nurse is assisting with the implementation of a bowel training program for a client. For the program to be effective, the nurse should take the client to the bathroom at which of the following times?

A nurse is collecting data on a client who has urinary retention. Which of the following findings should the nurse expect?

A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan to take?

A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?

A nurse is implementing a bladder-training program for a client. For which of the following actions by the assistive personnel (AP) who is helping with the client's care should the nurse intervene?